Overview

This trial is active, not recruiting.

Conditions quality of health care, electronic health records
Treatments electronic health record (ehr), medical home redesign
Sponsor Weill Medical College of Cornell University
Collaborator New York State Department of Health
Start date October 2008
End date May 2014
Trial size 1200 participants
Trial identifier NCT00793065, 0508190240

Summary

The investigators will conduct a longitudinal cohort study with concurrent controls. The investigators will include all primary care physicians in the Hudson Valley including family practitioners, internists, and pediatricians. The purpose of this study is to determine the effects of implementing electronic health records (EHRs), pay-for-performance incentives for physicians (P4P), and Medical Home redesign on health care quality, cost and patient experience in the Hudson Valley.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model cohort
Time perspective prospective
Arm
Physicians that are using paper-based medical charts and who are not receiving Medical Home redesign incentives.
Physicians that are using electronic health records and who are not undergoing Medical Home redesign.
electronic health record (ehr)
Computer-based system that allows physicians to access and manage patient records electronically.
Physicians that are using electronic health records and undergoing Medical Home redesign.
electronic health record (ehr)
Computer-based system that allows physicians to access and manage patient records electronically.
medical home redesign
Implementation of NCQA Level II Medical Home

Primary Outcomes

Measure
health care quality (as determined by previously selected and approved quality indicators)
time frame: 5 years
health care costs (as calculated by utilization)
time frame: 5 years

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Primary care physicians working in the offices practices in the Hudson Valley, and who are members of the Taconic IPA. Exclusion Criteria: - Physicians who opt out from the study.

Additional Information

Official title Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley
Principal investigator Lisa M Kern, MD, MPH
Description The Hudson Valley is implementing several innovative programs to potentially improve quality and reduce the cost of health care delivered. First the Taconic Health Information Network and Communities Regional Health Information Organization (THINC RHIO) is facilitating diffusion of EHRs in office practices in the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay-for-performance. Third, an additional component of the THINC P4P project will be an added financial incentive for private practice physicians who implement and reach Level II of Physician Practice Connections® - Patient Centered Medical Home (PCMH)™, NCQA's new national recognition system for physician practices. Our study will seek to determine the effect of each of these initiatives on health care quality and cost of care in the Hudson Valley. We will also measure the patient experience before and after implementation of the Medical Home.
Trial information was received from ClinicalTrials.gov and was last updated in June 2013.
Information provided to ClinicalTrials.gov by Weill Medical College of Cornell University.